Organization Active NPI

Manta Salud, Inc.

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1477894087
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MANTA SALUD, INC.
Practice address
1883 Calle Glasgow
College Park
San Juan, PR 00921-4820
Phone
(787) 294-5551
Fax
(484) 723-4846
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Diego J. Loinaz
Title
President
Phone
(787) 294-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1883 Calle Glasgow
College Park
San Juan, PR 00921-4820

Mailing address

1353 Ave Luis Vigoreaux
PMB 486
Guaynabo, PR 00966-2715
Phone (787) 294-5551

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1477894087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE LUIS VIGOREAUX",
            "address_2": "PMB 486",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-294-5551",
            "fax_number": "484-723-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 CALLE GLASGOW",
            "address_2": "COLLEGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214820",
            "telephone_number": "787-294-5551",
            "fax_number": "484-723-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTA SALUD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "LOINAZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-294-5551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.